Coeliac plexus block in the management of chronic abdominal pain due to severe diabetic gastroparesis

Dennis Jason Yang Wu, Chadi Dib, Bryan Hoelzer, Molly McMahon, Paul Mueller

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Abdominal pain can be disabling in patients with gastroparesis. The pathogenesis of pain in these individuals is poorly understood. Agents commonly used in clinical practice, including tricyclic antidepressants, gabapentin, and pregabalin, have remained largely unsatisfactory in treating this pain. We report the case of a 50-year-old woman presenting with chronic unrelenting abdominal pain due to severe diabetic gastroparesis that was managed successfully with coeliac plexus block with local anaesthesia and steroid injection. Adequate analgesia was achieved and maintained for 10 weeks following the coeliac plexus block, which allowed elimination of opiate requirements for pain management (and avoidance of narcotic associated constipation), continuation of percutaneous endoscopy jejunostomy tube feedings, and avoidance of long term parenteral nutrition.

Original languageEnglish (US)
JournalBMJ case reports
DOIs
StatePublished - Nov 26 2009

ASJC Scopus subject areas

  • Medicine(all)

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